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对教育干预措施的系统评价,以培养卫生和社会保健专业人员在有依赖子女的癌症临终父母的情况下提供临终支持性护理。

A Systematic Review of Educational Interventions to Equip Health and Social Care Professionals to Promote End-of-Life Supportive Care when a Parent with Dependent Children is Dying with Cancer.

机构信息

Research Assistant, School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.

Research Associate, Institute of Nursing and Health Research, School of Nursing and Paramedic Science, Ulster University, Belfast, Northern Ireland.

出版信息

Semin Oncol Nurs. 2023 Oct;39(5):151474. doi: 10.1016/j.soncn.2023.151474. Epub 2023 Jul 21.

Abstract

OBJECTIVES

This systematic review aimed to determine the content, mode of delivery, assessment, and outcomes of educational interventions to equip health and social care professionals when delivering end of life supportive care for parents dying with cancer who have dependent children.

DATA SOURCES

A mixed-methods systematic review was undertaken. Six electronic database were searched from their inception until September 2023 (Medline OVID, CINAHL, EMBASE, PsycINFO, Web of Science, and ERIC), supplemented by citation chaining, grey literature searches using Google Advanced Search and relevant professional bodies. Quality assessment was conducted independently by two researchers on the included studies. A convergent integrated approach was utilised for data synthesis.

CONCLUSION

The review identified two educational interventions; highlighting a dearth of training opportunities to equip health and social care professionals to provide supportive care to families when a parent is at end of life with cancer. Despite health and social care professionals reported need and desire for upskilling in this area of clinical practice, there is a severe lack of evidence-based educational interventions. It is imperative that effective educational interventions are made accessible to professionals.

IMPLICATIONS FOR NURSING PRACTICE

There is an imminent need for robust educational interventions to be developed, as health and social care professionals often lack the knowledge, skills and confidence on how best to support families when a parent of dependent children is at end of life. Health and social care professionals engagement with high-quality, evidence-based and theory-driven educational interventions has the potential to impact professionals' provision of family-centred cancer care at end of life. This could lead to better mental and physical outcomes for the whole family at end of life and in bereavement.

摘要

目的

本系统评价旨在确定为医疗和社会保健专业人员提供临终关怀的教育干预措施的内容、交付模式、评估和结果,这些干预措施旨在为患有依赖子女的癌症且即将离世的父母提供临终关怀。

资料来源

本系统评价采用混合方法,从各数据库建库起至 2023 年 9 月(OVID 医学全文数据库、CINAHL 数据库、EMBASE 数据库、PsycINFO 数据库、Web of Science 数据库和 ERIC 数据库)检索 6 个电子数据库,并通过引文追踪、使用 Google 高级搜索和相关专业机构的灰色文献搜索进行补充。两名研究人员独立对纳入研究进行质量评估。采用融合式综合方法进行数据综合。

结论

本评价确定了两项教育干预措施;这突出表明,缺乏培训机会来使医疗和社会保健专业人员具备在癌症患者临终时为其家庭提供支持性护理的能力。尽管医疗和社会保健专业人员报告称在这一临床实践领域有提升技能的需求和愿望,但缺乏基于证据的教育干预措施。至关重要的是,要使有效的教育干预措施能够为专业人员所获得。

对护理实践的影响

迫切需要开发强有力的教育干预措施,因为当有依赖子女的父母临终时,医疗和社会保健专业人员往往缺乏相关知识、技能和信心,无法最好地为家庭提供支持。医疗和社会保健专业人员参与高质量、基于证据和理论驱动的教育干预措施,有可能影响专业人员在临终时为家庭提供以癌症为中心的护理。这可能会导致整个家庭在临终和丧亲期间获得更好的身心结果。

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